Mental Health & Spirituality
What do chaplains do? (Name three things)
Connect Patients with Community Support
Provide Spiritual & Holiday Services
Arrange for rites/rituals
Provide Support Materials
Cooperation in multidisciplinary Teams
NODA
What is the definition of a concussion?
A type of TBI caused by a bump, blow, or jolt to the head that can change the way your brain normally works. Concussions can also occur from a fall or a blow to the body that causes the head and brain to move quickly back and forth.
What setting is a highest risk according to consistent studies?
Inpatient and acute psychiatric services
What is the exception to a patient being able to make their own decisions, or have the "capacity?"
Court has already decided that the patient cannot make reasoned decisions and has appointed a guardian to make all decisions on the patient's behalf
What might prompt a call to a chaplain? (Name two things)
Obsession with religious or spiritual concepts
Vision-like experiences
Unusual, out-of-character communications
Patient request
Myth or Fact?
Someone with a concussion must have a CT scan or MRI.
Myth
What are other settings with high risk for violence? (Name two)
Working directly with people who have a history of violence, abuse drugs or alcohol, gang members, and relatives of patients or clients
Working alone in a facility or in a patient's home
Poorly lit corridors, rooms, parking lots, and other areas
Working in neighborhoods with high crime rates
When do we begin to assess capacity? (Name both times)
Informal assessment, every patient interaction
Formal assessment: patient needs to make high risk decisions and we see evidence that patient may not be able to.
Name three things that fall under the "umbrella" of spirituality?
Purpose/meaning
Relationships
Identity
Morals/Values
Religion
Emotions
Supernatural
Myth or Fact?
Only 10% of concussions involve loss of consciousness (being "knocked out")
FACT
Name each part in the Crisis Escalation Cycle
Trigger
Anxiety
Anger/Panic
(Hostile) Behavior
Name five high risk decisions?
Surgery
Chemotherapy
Medicaid/Social Security Applications
Powers of Attorney, Wills, Financial Documents
AMA Discharges
Lack of a Safe Discharge Plan
Who do chaplains provide support for? (Name three)
Patients
Patient Families
Staff
Name three signs observed that may mean a concussion?
Appears dazed or stunned
Is confused about events
Answers questions more slowly than normal
Repeats questions
Can't recall events after the hit, bump, or fall
Loses consciousness (even briefly)
Shows behavior or personality changes
Name 5 signs of Aggression/Hostility
Rapid Breathing/Heart Rate
Bladed Stance
Clenched Fists
Verbal Threats
Tension in arms/legs/muscles
Yelling or Nonverbal
"1000 yard stare"
Give two facts about a DPOA.
Most DPOA's only take effect when the patient is unable to make decisions, and the powers cease when the patient regains capacity
Legal documents
Recognize DPOA's out of state
A copy needs to be in the Chart
Many different kinds of DPOA's, differentiated by purpose (DPOA, limited power of attorney, DPOA-HC)
Where can you find a chaplain? (Name two places)
Olathe Pavilion, 2nd floor
Chapels-Cambridge, Bell, Spencer
Units (Cambridge, Heart Center, Bell, MOB, Marillac, OL3 (Strawberry Hill)
How do you treat a concussion? (Name three)
Cognitive and Physical Rest
Stepped return to learn/life
Stepped return to play/athletic activity
Prevention
Referrals
Name 5 ways you should NOT interact with a mentally ill patient?
Join into the behavior related to the persons illness
Stare at the subject
Confuse the subject
Give multiple choices
Whisper, laugh, or joke about the situation
Deceive the subject
Avoid unnecessary physical contact
Name three frequent problems that are seen with a DPOA.
DPOA not making decisions in patient's best interest
DPOA behaving inappropriately
Decision-maker interfering with care
DPOA and other family members fighting- DPOA wants to cut off visitation
More than one decision-maker and they disagree
DPOA trying to make decisions for patient while patient still has capacity
Multiple and/or invalid DPOA-HC documents